CAJ | 학술논문

目的探讨免气囊、免固定完全腹膜外腹腔镜腹股沟疝修补术(TEP)治疗腹股沟疝开展的可行性及适用性.方法选择2010年1月-2012年12月在包头医学院第一附属医院普外科确诊并手术的40例腹股沟疝患者作为观察对象,根据手术方法的不同,分为TEP组和开放手术组,观察统计二者的术后疼痛程度、胃肠功能恢复时间、术后离床活动时间、住院天数、术后并发症发病率、住院费用等指标.结果 TEP组手术时间较开放组长,相差近20 min,差异有统计学意义(P＜0.05)；但TEP组与开放组相比,患者术后疼痛程度轻、术后进食时间早、术后离床活动时间早、术后排气时间早、住院天数短、术后并发症发病率低；二者住院费用相比较,差异无统计学意义(P＞0.05).结论与传统开放手术相比,用TEP治疗腹股沟疝有较大优势,在临床可适度开展.
목적 탐토면기낭、면고정완전복막외복강경복고구산수보술(TEP)치료복고구산개전적가행성급괄용성.방법 선택2010년1월-2012년12월재포두의학원제일부속의원보외과학진병수술적40례복고구산환자작위관찰대상,근거수술방법적불동,분위TEP조화개방수술조,관찰통계이자적술후동통정도、위장공능회복시간、술후리상활동시간、주원천수、술후병발증발병솔、주원비용등지표.결과 TEP조수술시간교개방조장,상차근20 min,차이유통계학의의(P＜0.05)；단TEP조여개방조상비,환자술후동통정도경、술후진식시간조、술후리상활동시간조、술후배기시간조、주원천수단、술후병발증발병솔저；이자주원비용상비교,차이무통계학의의(P＞0.05).결론 여전통개방수술상비,용TEP치료복고구산유교대우세,재림상가괄도개전.
Objective To investigate the feasibility and applicability of free airbags,free fixed totally extraperitoneal laparoscopic inguinal hernia repair (TEP) treatment of inguinal hernia.Methods In Baotou Medical College,Department of General Surgery,the First Affiliated Hospital,the 40 cases of patients confirmed with inguinal hernia surgery were choosed from Jan.2010 to Dec.2012 as the observed object,depending on the surgical methods.Divided the cases into the TEP group and the open surgery group to observe statistics including postoperative pain,extent of gastrointestinal function recovery time,the time of bedside movement,the number of days of hospitalization,the incidence of postoperative complications,hospital fees indicators.Results The operation time of TEP group was about 20 minutes longer than the open group and the difference was statistically significant (P ＜ 0.05).Compared with the open group,TEP group' s postoperative pain was milder,postoperative feeding time,the time of bedside movement and postoperative exhaust time were earlier,hospital stays were shoter,incidence of postoperative complications was lower,the differences were statistically significant (P ＜ 0.05).The difference was not statistically significant in hospital costs(P ＞ 0.05).Conclusion TEP inguinal hernia greater advantages compared with traditional open surgery,may be appropriate to carry out in my area.